Provider Demographics
NPI:1730664707
Name:HIGGINS, SVETLANA M (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:M
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3909 ORANGE PL
Mailing Address - Street 2:SUITE #2100
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:440-971-3668
Mailing Address - Fax:216-201-6111
Practice Address - Street 1:3909 ORANGE PL
Practice Address - Street 2:SUITE #2100
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:440-971-3668
Practice Address - Fax:216-201-6111
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH023580363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily